Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 363LP2300X | Nurse Practitioner | Primary Care | | | No |
| 2 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 3 | 163W00000X | Registered Nurse | | | | No |
| 4 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 5 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 6 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 7 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 8 | 315D00000X | Hospice, Inpatient | | | | No |
| 9 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 10 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 11 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 12 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
| 13 | 363LG0600X | Nurse Practitioner | Gerontology | AP124201 | TEXAS | No |
| 14 | 363L00000X | Nurse Practitioner | | AP124201 | TEXAS | Yes |
